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4131 Blueberry Ct CITY OF AGAN WATER SERVICE PERMIT 3795 *bt Knob Road PERMIT NO.: 7 c, Eagan, MN SS 122 DATE: Zoning: R- No. of Units: Owner: = - + K't7kCt an Address: Site Address: its 1'Ipta1~,g Plumber k} Meter No.: Connection Charge: Q*'11 t Size: Account Deposit: Reader No.: Permit Fee: F' t 1 agree to comply with the City of Eagan Surcharge: 4 _ Ordinances. Misc. Charges 60.00 TEtetA: ' Total: By Dote Paid: Date of insp.: i nsp.: CITY Of pEAGAN SEWER SERVICE PI<RMIT 3795 - blot Knob Road PERMIT NO.: 344-) r" Eagan, MN $5122 DATE: 4/13/79 t Zoning: 21 No. of Units:` ~ t: Owner: J. L -jcha 'Construction ` • Address: Site Address: 4131 Bluob rry Courts Lf4 Tf)- Hillto-V EditTat@S 'Plumber. 11/29/78 12523 100.00 ;Pd 1`agree to comply with the City of Eagan Connection Charge: 400.00 od ordinances. Account Deposit: Permit Fee: 10-.!)o Rd Surcharge: 'O Xar? By Misc. 'Charges: Date of Insp.: Tbtai:• Insp.: Dote Paid- CITY OF EAGANT+ro 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 J BUILDING PERRMIT Receipt i SIDING To be used for tdINLX M Est. Value $7, 700 Date FEB 19 Site Address 4131 B SERRY CT Lot 24 Block - 6 Sec/Sub. HILLTOP MATES OFFICE USE ONLY Parcel No. Occupancy FEES Zoning U Name IRAN & L011 A D IM (Actual) Const Bldg. Permit ".0 3 Address (Allowable) 0 4131 BLUBU RY CT Surcharge t City EAG IN Phone 456-9170 # of Stories Length Plan Review ip Name Depth SAC, City Address - S.F. Total UQ _ SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn Fw Name On Site Well Water Meter _3 Address ! MWCC System ¢ z Acct. Deposit aW City Phone e~tywater PRV Required S/W Permit hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. - Treatment P1 ,yr td~ Signature of Permdee' APPROVALS. F T~ Road Unit A Building Permit is issued to: DAN OR LOLA *)ERAGI Planner _ Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Variance TOTAL 103.00 Building Official Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well i Pc Disp. CITY OF EAGAN " 3795 Pilot Knob Rood Eosm, MN 55132 PHOV41E: 434-8100 BUILDING PERMIT Receipt ;w f' To be used for S DW1 7 & C3x'3L"i CIeEst. Value onn. Date 19"1 Site Address 4I31uebp Erect [ Occupancy Lot 24 Block Sec/Sub. Alter ❑ Zoning Parcel Repair ❑ Fire Zone Enlarge ❑ Type of Const. of Name Move ❑ # Stories z Addre 1,77-70 7 -ten 'N. Demolish © Front ft. i..I T Phone _ Grade ❑ Depth 51 Cit o Name' Approvals Ft" o Address Assessment Permit Water & Sew. Surcharge ~ Ci Phone Police Plan check ~ w Name 171a k ~ Fire SAC . F Address Eng. Water Conn " Q'Z" City Phone Planner Water hAAtsri Council PD& hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and aree to comply with all applicablf APC Total State of Minnesota Statutes ad City ok:Eadgan-®rdi noes, Signature of 'Permittee J. Leicto ' (b(OF tnr-t- M, A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City .of Eagan Ordinances. t Building Official f -53G (-7 9 Permit # Date Issued U Permittee Plumbing Mechanical J 3c) o~ ' [ ^ 1 9 4-20 34519 /A-9- 78 m o a -a~ b1hM !.9 INSPECTIONS DATE INSP. Rough-In Find Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. _7 _7 7-7 Mechanical Final Remarks: ~t CITY OF EAGAN 3795 Pilot Knob Road rk. j MR Eagan, Minnesota 55122 Phone: 454-8100 .394 T"-T= PERMIT No. 1 Dater Receipt No.: 13226 41311 T- I3rE rry Court; Single _ Residential I X Site Address: I Lot 24 y Block 1; f/ Su~bj/wSe'; HildtOP _ Multi Res., Comm./Ind. Name New/Alter./Repoir a Address 1.7770 Ttm ct- q. Cost of Installation ° I stil2e 435-753ft 20.0t} City _ Phone: _ Permit Fee Nome Surcharge 0 Y 7 624 p1ndalp AVE.'. 4.30. Address e City Phone: Total This Permit is issued on the e*'press condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 rTJ"TM PERMIT No. 3-320 \ Date: 3-15--79 Receipt No.: 13505 - Single Site Address: 4131 B t Court Residential + INC Lot Block Sub/Sec, Multi Res., Comm./Ind. Name J. lee ~-.X'lll."I icr New/Alter./Repair. 3 Address 17770 I ' F'. Cost of Installation City Lakeville aPhone: 417-793n Permit Fee 70 ' ti 0 _ Name Rsa ss 1d.?'},2"at?tT. `V T. ..50 Surcharge pd~d 0 0 '11-1 City Phone: Total This Permit is issued on the express condition that all work sholl.be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CASH RECEIPT CITY OF EAGAI F E 3755 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~a „X r 'AMOUNT o -DOLLARS CASH ✓Tj ECK Fume cone ; AMOUNT C { ICJ j T Y 15. Y t g) [ Whit-pavers copy PostiN CQPy i 5 i aF-f ell" CITY OF EAGAN Remarks - Addition HILLTOP ESTATES Lot 24 Blk 6 Parcel- ~Ag Owner ' Street 4131 Blueberry Court State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1336.72 0006537 STREET RESTOR. GRADING SAN SEW TRUNK 1973 179-14 R-61 9.0 1 • SEWER LATERAL 1980 326-04 10 3260.35 0006550 10/3/79 WATERMAIN * WATER LATERAL I PRO * WATER AREA Snryirns 1980 ,t STORM SEW TRK 1980 * STORM SEW LAT 1980 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Charge 75.00 12521 11-28-78 WATER CONN. 250.00 12521 11-28-78 BUILDING PER. SAC 12521 11-28-78 PARK INSPECTION RECORD CITY CAF EAGAN PERMIT '1" `I(t 14 E~ i tr ~ ~ ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: Q ;v ~ 9 8 '(612) 681-4675 SITt ADDRESS: c 01 14 141 01-V t APPLICANT: N 1 it1_t1E#IEPRY cT 141.1..1 f- 1 E►N~y d 1100 PERMIT SUBTYPE: TYPE OF WORD: NEW t 4 t: t` U t Nis 1. i SACT C PAN* - hwf. k p Fief "Ij, p; C1lf ter i D" PnW 171. WON R. Div. < VA 113 9 -s~o I O~2 f,~" Request D tg ~Fhe No. Roo -+n Inspection NOTICE: You Must Call Electrical Inspector Required? If A Rough-In Inspection ❑ Yes ❑ No Is Required. I ❑ licensed contractor ❑ owner hereby request inspection of above electrical work at: City Job A r s (Str t, Box or Rout o.)L Section No. Township Name or No. Range No. County Occu t (PRINT) Phone 7D Power Supplier Address /7J (/O Z Electrical actor (Company Name) Contractor's License No. Mailing Address (Contra or or Owner Making Installation) Authorized 'nature (Co ractor/O er MakirKo Installation) Phone Number Df MINNESOTA STATE BOARD OF ELECTRICITY n~{ THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 1 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Jam(( /p y^~j REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 V / V See instructions for completing this form on back of yellow copy. 01113 X" Below Wor ered by This Request New Add Rep. Type of Building Applian'cesWired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: (Oats "0-_- # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 s Above 100 Amps TOTA Signs \1 Inspector's Use ON 59 Irrigation Booms ~!O Special Inspection Alarm/Communication THIS INSTAL MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rough-in r Date certify that the above inspection has Final Date been made. 2-1 OFFICE USE ONLY This request void 18 months from _ (/This request void 18 months from r R 53617 Date of this Request I, as 0 Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: 4-r1. ;Z it Street Address or Route No. City Section Township Range County Which is occupied by ):4- AO (Name of Occupant) Is a roughin inspection required on this job? No C Yes 2 Ready Now O Will Call Power Supplier ]Z~~Address T Electrical Contractor h'✓Contractor's License (Co pany Name) Mailing Address d (Ele ical Con ctor or ner Making This Installation) Authorized Signature Phone No. X38' (Electrical Con rector or Owner Making is Installation) Thi inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. 1954 University innesota State Board of Ave., St. Paul,, Minn. 551e04rPhone 645-7703 G - REQUEST FOR ELECTRICAL INSPECTION 53617 CHECK BELOW WORK COVERED BY THIS REQUEST 1 \ f Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures 0 Apt. Bldg; ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List Others Others Other ❑ ❑ ❑ Here Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee F Subf ers: # Fee Circuits: # Fee 0 to 100 Am s. O t 3 m 0 to 30 Amperes o 101 to 200 Amps. 31 s 31 to 100 Amperes. Above 200 Amps. Ab 10 Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5 Remarks L/ TOTAL FE o , C I, the Electrical Inspector, hereby certif t t o inspection has bee Ama e~ (Rough-in) Date (Final) Date - This request void 18 months from Thilprequest void 18 months from 3.3' 7 t R 42900 r E09te of this Request_ I, as Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: o,,07-- A Street Address or Route No. 1723 u City 1 Section Township Range County /~rLlE-G~ ~sA Which is occupied by 7 7 (Name of Occupant) Is a roughirl inspection required on this job? No E Yes)4 Ready Now ❑ Will Call Power*upplier~ &,~-Address 2 ~ Electrical Contractor s Contractor's License Nol ~~;7e1 (Company Name) Mailing Address (EI tfic C& r ctor 'O er Making This Installation) Authorized Signature Phone No. 7,47 (Electrical Contractor, or Owner Making is Installation) SIAlil BOARD 11- ' This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn.. 55104-Phone 645-7703 74 REQUEST FOR ELECTRICAL INSPECTION C' ECK BELOW WORK COVERED BY THIS REQUEST 42900 rTl*e of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range C Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ Q ❑ Air Conditioner Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List , List Others - Others Other ❑ ❑ ❑ Here Here COMPUTE INSPECTION FEE BELOW,1 Service Entrance Size: # Fee FeedeSu Feq Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 2 - 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. -73 =5 Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5 C, o0 Remarks TOTAL FEE 0 A I, the Electrical Inspector, hereby certif t the o inspection has been m~ (Rough-in) Date (Final) r Date fro` This request void 18 months from , PS request void 18 months from f o~ g / Date of this Request_ ZA " 7 - 7,t 34599 I, as/U(Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wrong installed at: a f~ 4, A4W Street Address or Route No. dA~Y' L (✓N City Section Township Range County. Which is occupied by (Name of Occupant) Is a roughin inspection required on this job? NoA Yes ❑ Ready Now Will Call ❑ Power Sopplier - ddress e Electrical Contractor Contractor's License No. + (Com any Name) Mailing Address 6 (Elec I ontr Owner Making This Installation) Authorized Signature Phone No.~ (Electrical Contractor or Owner Maris his Installation) STAU BOARD COPY sp ection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity q 195,4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION p 34599 CKCK BELOW WORK COVERED BY THIS REQUEST R Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ . Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List Other El El 11 Herers Herers COMPUTE INSPECTION FEE BELOW w Service Entrance Size: # Fee FeedeIs&Subfeeders: ~ # - F ` Circuits: # Fee 0 to 100 Amps. 0 to 30 Am er 0 to 30 Amperes 101 to 200 Amps. 31 to 1 pe 31 to 100 Amperes Above 26-0 _Amps. Above A s. Above 100 Amps. Transformers Remote rol irc. Partial or other fee Signs Special Ins tion Minimum fe Remarks TOTAL EE 6.05: s I, the Electrical Inspector, hereby certify that the above inspection has been ma e, (Rough-in) Date (Final) 412 17 , r Date This request void 18 months from • PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 021305 (612) 681-4675 bate Issued: 07/08/93 SITE ADDRESS: 4131 BLUEBERRY... CT LOT: 24 BLOCK: 6 HILLTOP ESTATES P.I.N.: 10-33000-240--06 DESCRIPTION: Building Permit Type DECK Building Work Type NEW i Building Length 23 Building Width 12 REMARKS: FEE SUMMARY: Base Fee $25.00 COPY .50 Surcharge $.50, Total Fee $31.00 Lic. Search Fee 5.00 Subtotal $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: MILLER CONST DON 18920536 0004991 DERAGISCH DAN 17843 JUBILEE WAY A 4131 BLUEBERRY CT LAKEVILLE MN 55044 EAGAN NN (612) 892-0536 (612)456-9170 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L- APPLICANT/PERMITEE SIGNATURE UED BY. IGNAT RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021305 Eagan, Minnesota 55123 Date Issued: 07/08/93 (612) 681-4675 SITE ADDRESS: LOT: 24 BLOCK: 6 APPLICANT: 4131 BLUEBERRY CT MILLER CONST DON HILLTOP ESTATES (612) 892-0536 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. FOOTING FINAL F L- ---I CITY OF EAGAN REACTIVATE [ f ( D PERMIT 1993 BUILDING PERMIT APPICATiON n 4tr `I 1 6 1993 '3 [ _ - - 631-4675 1 C~GS SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by lastworking day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date TV A! Valuation of work 570 O Site Address: I131 Plut, herv,V C1 fA Aa STREET SUITE # Tenant Name: (commercial only) (o 'LOT ~l BLOCK SUBD.H ILLTP A P.I.D. i~ Description of work: )v i r_j i N of P e CA- The applicant is: O Owner 191 Contractor 0 Other (Describe) Name 2 ~'i Ch 0 AN Phone 5-6- W 70 Property LAST FIRST Owner Address X131 RIue b-erry STREET STE # City L ~w State _ MAI Zip $'s12 3 Company Do AI 6j; ) /Py- Cou S Phone Z- o5--3 4> Contractor Address 1,2943 ^u t License # a `l`IR' Exp. I At City LA ke v ► Uo- State MN Zip ~Se~ S Architect/ Company Phone.. Engineer Name Registration # Address City State Zip LCEOagan & water licensed plumber Processing time for & water permits is two days once area has been approved. by acknowledge that I have read this appplication and state that the information is and agree to comply with all applicable State of Minnesota Statutes and City of t Ordinances. ure of Appli cant: Q 01A-OL~ OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish. ❑ 02 SF Dwg ❑ 07 4-flex ❑ 12 Multi. Misc. D 17 Swim Pool 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑_19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. 15 Deck ❑ 20 Public facility 21 Miscellaneous WORK TYPE 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION (Actua i) Basement sq. ft. MWCC System' (Allowable) lst F1. sq. ft. City Water UBC Occupancy3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length .2s, On-site well Census Code / Depth On-site sewage SAC Code APPROVALS a Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site IS Footing ❑ Framing ❑ Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee ua Valuation: g Surcharge spa Plan Review License o,~6 MWCC SAG City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units a 'YA H. SCHWANZ LANDSURVEYOR Registered Under Laws of The State of Minnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56068 PHONE 612 423-1768 SURVEYOR'S CERTIFICATE 85 92 h ~ ~ 2O 's f 7, s ° f 1 ' ~4 L' ' f r O O pk3POSE / .,3 t0 N f ..USE ~ 3Z.85~ L.. u ` V C 4 V r 96 9 05 \ LO T 24 \ 0 ~ .24015 6 j _~.,~n~~-`; C? C 9' iev uat!Od MINNESOT REGISTRATION NO. 8625 l 1V1HL NG11 1'>>-cn ~ai~..i a+u a..b ~y~~r~~ 154„~ .,.,...TOTAL (U) (A) ` a 1~ 3E' ,f ~~}::T T•T• - CAY 1r~ AN .!S 1 iF-'.i I•*'W NO ta0 DATEg W/0/99 TIME: r 1W u ITAMP: .;c:..f.fl 900i 40:!. x.,...3..,xtiF::F`f;Y t.. 181 .25 H..?:J .'it i.lt;.l. W`.)1. A.tL.;DF_F134T C :J»Oi./ Total Receipt Amount,,, 18605 CR f f:3;:36 USER 1D: :?AN 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 tt 651-681-4675 n s New Construction Reaulrameats Remodel/Repair Reauireme~ n- > 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of tree preservation plan ff lot platted after 7/1/93 DATE: E nk 9'( CONSTRUCTION COST: =2~ DESCRIPTION OF WORK: STREET ADDRESS: ~W~kem~ La~,Y± LOT: D' ~A BLOCK: SUBD./P.I.D. Name• Phone l.?~j PROPERTY Last First OWNER. Street Address: ~ n City ate: Zip: 51 S2 -d' C) 0 Cj "i Company: Phone (area code) CONTRACTOR tt~~ ~f (~~L Street Address: 315- t . License # ~l.iz P. City d~ tQ_ State: fWy1 Zip: ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction only): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea. ❑ 03 1 of _ piex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 05 3-piex ❑ 10 8-piex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous WORK TYPE ❑ 31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia ❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors ❑ 33 Alteration ❑ 37 Demolish Bldg.* ❑ 41 Wood Stove ❑ 45 Fire Repair ❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit } S/W Surcharge Treatment P1. Park Ded. ` Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN 3795 Pilot iChob Road Eagan, MN 55122 N2 5069 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt To be used for SF DW12 & Garage Est. Value 68,000. Date 11-28 , 19_78 Site Address 4131 Blueberry Court Erect p Occupancy I Lot 24 Block 6 Sec/Sub.Hl 1 t p Estates Alter ❑ Zoning Rl- parcel # Repair ❑ Fire Zone 3 Enlarge ❑ Type of Const. V Ix Name J LejChar COnSt Move ❑ # Stories 3 Address 17770 Iten Ct. N. Demolish ❑ Front 54 ft. o City Lakeville Phone 435-7530 Grade ❑ Depth 51 ft., Name Same Approvals Fees ,o op Address Assessment Permit .50 uF Li Phone Water & Sew. Surcharge 34.00 Police Plan check bw W Name WaMe JeSke Fire SAC 500.00 v,q Address Eng. Water Conn. 250 • 00 aW City Hopkins Phone Planner Water Meter 60.00 Council Road Ut. 75.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct nd ree to com ly with al applica 140 APG Total 11 085.50 State of Minnesota Stat t s a ity oap'~rdi ces C Signature of Permittee ' A Building Permit is issued to: J. Le char St' ugtion on the express condition that all work shall be done in occordqP4 with all,,applic a State of Minnesota Statutes and City of Eagan Ordinances. Building Official I ~f ' DATE it BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations. To be used f or Valuation, Site Address: Lot Block Sec./Sub. Parcel Number Owner Telephone Address Contractor Cro/~''G✓s Telephone Address / ,77C _ G. f ig: C r / Ac- Arch/Eng. Jf' s'''ic Telephone Address / OFFICE USE ONLY Erect tf Occupancy Alter Zoning Repair Fire Zone 3 Enlarge Type of Const. Move # of Stories k Demolish Front t-<I' Grade Depth Date of Approval and Initial , Fees Assessment.. Permit /lf s " . Water/Sewer Surcharge Y Police Plan Check i Fire SAC Engineer Water Connection Planner Water Meter Council Bldg. Off. A.P.C. TOTAL r~ 3k 31 /21 `:.2 Li DELMAR H. SCH WANZ LANDSURVEYOR Registered Under Laws of The State of Minnesota 2878 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 423.1769 SURVEYOR'S CERTIFICATE es e , Ns9o All, CO / 4 1 9S2 \ <ie3 6 o W o M O O 9B 3 ?1 0 / O 0 0 0 1 ~x PROPOSED 'h r (V 11 NOUSE 32.85 4• A Io j 38 0 3 96.9 9 \ 10 0 N 0 LO T 24 ° 124°15' ✓ r ti 0 £'.>i , ~1ki SG'i ol~ ro O. 93 A l a 1 7 :.k. E!."i,i°ifi<,1`"ll?)C! f i i4 L ter....{~t:~.;. MINNESOTA REGISTRATION NO. 8625 City of Lakeville' w A EXTERIOR ENVELOPE AVERAGE "U"-COMPUTATION per _ _ Address Phone43.5--7s gal Description of Property: Lot Block Addition Date te'Addres's ' AVERAGE LINEAL FEET OF EXPOSED WALL AREA ABOVE GRADE in level c Lineal ft. of framed wall above grade J(p(.p x height of wall m joist area '..ineal ft. of rim x height of rim _ r it Ceti ,.-er level Lineal ft, of framed wall above grade x height of wall -Q" 1%0 [.ineal ft. of masonry wall above grade_I ~~ir~yyx height above grade) W' TOTAL wall area above grade including windows and doors tiDOWS: Area x "U" vale ke & type sq. ft. X "U" gyp. (U) (A) sq. ft. &,/0 x fluff 0 (U) (A) sq. ft. 2Z.0 x ffufr Gv~y (U) (A) It sq. ft. x flu" (U)(A) SL! , sure ,b sq. ft. r1 r x Huff = 2 (t') (A) „ r Lr n ff- ~>~i41~s1- sq. ft. x L „ 71-31 (U) (A ) sq. ft. ` fJ, 1 x fluff © 2,,3u (U) (A) sq. ft. Z ,t.3 x stuff r~ = i, 2 (U) (A) sq. ft. ae,/g x r,Urr= „~~NS! (U) (A) Of f, sq. ft. `Z2,i _ • x Buff Q j,~ ~ 1. (LT) (A) „ It ,j sq. ft. 4la x ifrTff (U) (A) esq. ft. /2,2.0 x r,Urf ~f ~xY _(U) (A) Sq. ft. x fluff - (U) (A) sq, ft. x fluff = (U) (A) ft. x 'fU" _ (U) (A) „ n y sq. ft. x stuff = (U) (A) Sq• ft. x foul = (U9 (A) 6, „ sq. ft. x fluff = (1%) (A) )ORS: Area x "U" value t C, L x f,Uff `2-b = Z, (U) (A) ke & type CMF. '2,1 V sq. ft. t 7 , ?0 5•60 x four, (U)(A) ,f If C2) Z sq. ft. 2 sq. ft. 140, !07 x fluff (U) (A) 2 (,V sq. ft. 17-80 _x )furl 124 (U) (A) z~¢ 'AGUE WALL CONSTRUCTION; Area x "U" valuer lt--W- 1090 corI AX(`~ Wbt L. sq. ft. 'Z+'~S~y• x fluff (U) (A) rM C~ta+ 1"B4 jb ~'Sq. ft. 7 I x ffLo os4 •.`y ,59__(U) (A) -tail refer t m P 1401, lCe from Wt -,LL- Qepdq, l iRP1A. Sq. ft. x )forf l fC) 3 3 , ~ (U) (A) /roc R.Y b v t,E sq. ft. J x v (L) (A) ttached v aF.s p6ottc C P ,cw ~-sq. ft.~ Q,,'I l•- x "U" 1_0~55~ L 2,25 (U) (A) ►'1 G Teets sq' ft. x nuts-` - (U) (A) sq.- ft. x fluff m (V) (A) "1192,50 ~l TOTAL Wall Area Including Windows & Doors TOTAL (U) (A) ')TAL (U) (A) ,VALUESAVG. Huff IVIDED BY TOTAL WALL AREA iIERAGE "U" Minimum ,17 or less for 1 & 2 family dwellings Minimum .22 or less for all other buildings Tf average "U" values as calculated above do not meet the Energv Code requirements, the "Alernate Envelope Design" as indicated on Page 5 may be used. WALL SECTIONS Page 2 tOZE._ Use 10% of opaque wall area for framing members R-Value FRAMING MEMBERS IN WALLS Tap View _ Exterior Siding t Sheathing 2 3Y" soft wood 4.38- ".dry wall .45 Interior air film .68 f TOTAL R 49 U = 1/R U . !!'7 -FRAMED WALL Exterior air film .17 r~ Siding Sheathing ~~®EO A" batt insulation 13•P0 t .45 ' dry wall _ Interior air film .68 _ TOTAL R _ 1711 U = 1/R C' =..r U = ®58 ---RIM-JOIST AREA Exterior air film Siding Sheathing 1 m, soft w 1.88 QQd a .68 Interior air fijm _ TOTAL R 1/R u s MASONRY WALL Exterior air film 1211 CO b I sulation 4 Interior air film •68 - r TOTAL R e U = 1/R U = Page 3 ROOF CEILING Outside air film .61 -F - _ Insulation I r I`i _ _ _.4p - - I l ! Drywall .45 o Interior air film .61 - TOTAL R 6 U = 1/R U = O23 Outside air film _ on 1~11 D 1 .45 - Interior air film .61 TOTAL R = U= 1/R U= Outside air film .17 Rui -t-u z =no - 33 _ tion . Wood decking Interior air film .61 f TOTAL R = U = 1/R U = :)OF/CEILING: )TAL AREA: I ~p sq. ft. etail reference "U" •OVx sq. ft. 113(a = M -(U) (A) rom above. "U" x sq. ft. _ (U)(A) escribe openings "U" x sq. ft. _ -(U) (A) n roof "U" x sq. ft. _ (U)(A) „u„ x sq. f t. _ W) (A) "U" x sq. ft. _ (U)(A) "U" x sq. ft. _ (U) (A) TOTALS so. ft. (Il) (A) OTAL (U) (A) 'VALUES IVIDED B TOTAL ROOF/ AVG. "U" EILING AREA VERAGE "U" .05 for ventilated roofs .10 for all other construction )TE: If average "U" values as calculated above do not meet the Engergy Code requirements, the "Alternate Envelope Design" as indicated on Page 5 may be used. Page 4 Exterior air film .92 Crawl Space !I" plywood & particle board .66 s _ - f I~ Insulation Interior air film .92 y TOTAL R = U = 1/R U = f -f Gv Min. R 7.5 q e v Slab on grade Min. R=7.5 j } 1 V D L \ Grade in. R 7.5 NInsulation shall have a minimum R-Value of 7.5 and must extend horizontally (as illustrated) or vertically a distance equivalent to the design frost line; that is: Zone 2 = 3 feet 6 inches Insulation shall have a minimum R-Value of 7.5 around the perimeter of slab on grade floors. + Page 5 THE TOTAL ENVELOPE CALCULATION METHOD }ie!regilations state that alternative overall "U" values for building sections are permissable if it is shown that the total building envelope heat loss/gain does not exceed that of a -.imi.lar building that meets the regulation "U" value maximums. In this case, we will consider )nly the walls and roof/ceiling criteria, assuming that the remainder of the building meets ° gulation requirements. t, Total heat loss as designed (walls and roof/ceiling) BTU/hr. degree F. Walls - UoAo = Average "U" of wall assembly x average wall area - sq. ft. Roof/Ceiling = UoAo = Average "U" of ceiling x average ceiling area sq. ft. _ TOTAL .3. Total heat loss if designed to meet the regulation minimum (walls and roof/ceiling) Walls = UoAo = Minimum required "U" value of wall x average wall area so. ft. = _ Roof/Ceiling = UoAo = Minimum required "U" value of ceiling x average ceiling area sq. ft. = TOTAL The following table may be used as a general guide line for determining allowable percentage of wall openings when lowest "U" value is established. % Wall Opening 10.6 13.4 15.6 17.2 18.6 19.7 20.6 21.4 22.1 Minimum R-Value Opaque Wall 8 9 10 11 12 13 14 15 16 % Wall Opening 22.6 23.1 23.6 24.0 24.4 24.7 25.0 25.2 25,5 Minimum R-Value Opaque Wall ,17 18 19 20 21 22 23 24 25 Opening area (sq. ft.) X 100 = Y Opening & wall area above grade (sq. ft.) opening in wall The following table may be used as a general guide line for determining allowable percentage of roof openings when lowest "U" value is established. Roof Opening 0 1 2 3 4 5 6 Minimum R-Value of Opague_Roof_ 20.0 22.3 25.1 29.0 34.3 42.2 55.3 Opening area (sq. ft.) X 100 = Opening & roof/ceiling area (sq. ft.) opening in wall Prepared by: CITY OF EAGAN NO 1 7 4 9 0 3830 Pilot Knob Road, P.O.11ox 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # SIDING & To be used for WINDOWS Est. Value $7,700 Date FEB 5 1990 Site Address 4131 BLUEBERRY CT Lot 24 Block 6 Sec/Sub. HILLTOP ESTATES OFFICE USE ONLY Parcel No. Occupancy - FEES Zoning - W Name AN & LOLA DERAGISCH (Actual) Const Bldg. Permit 99.00 o Address 4131 BLUEBERRY CT (Allowable) Surcharge 4.00 City EAGAN Phone 456-9170 # of Stories - Length - Plan Review z p Name E Depth SAC, City v0C Address - S.F. Total - SAC, MCWCC City Phone S.F. Footprints - On Site Sewage - Water Conn F w Name On Site Well - Water Meter s? Address MWCC System 00 W city Phone City Water Acct. Deposit PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes an &-ogan O inances. Treatment PI Signature of Permi e APPROVALS Road Unit A Building Permit is issued to: DAN OR LOLAf ERA T S H Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 103.00 Building Official r L1 11"I Variance TOTAL r 17- ~/170 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ( 6q11011 Ta Be Used For: Si c. d()i(6~.~-15 Valuatio l 0b Date: / Lq qQ Site Address J51 Lte- hLfa OFFICE USE ONLY Lot Block FEES Occupancy lGZoning Parcel/Sub Actual const Bldg. Permit n Allowable Surcharge Owner '0a, # of stories Plan Review J Length SAC, City Address X11 31!(~{t°//~~/ G/ Depth SAC, MWCC S.F. Total Water Conn City/Zip Code _ !2n_S1~~-_~ Footprint S.F. Water Meter q Acct. Deposit Phone On site sewage S/W Permit /J On site well S/W Surcharge Contractor n m !kr C1en MWGC System Treatment Pl. / City water Road Unit Address ~lp -l5J S PRV Park Ded. / Booster Pump Copies City/Zip Code/ SUBTOTAL 5 4 APPROVALS Penalty - Phone y Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cent of Survey Recd Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _Y - N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd -Y _ N, 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y - N 1 set of Energy Calculations On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date - / 16 / brZ Construction Cost op Site Address ~1/3 1 rr Unit/Ste # ~r Description of Work W\~ s ~r / At 4 € c~ ~e nno Multi-Family Bldg - Y N Fireplace(s) _ 0 _ 1 - 2 Property Owner d LAC C~ Telephone # Contractor J~ r Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeoiy 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y - N If yes, date and address of master plan: ) Licensed Plumber Telephone Mechanical Contractor Telephone # ( ) ) Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. - pplican ' rinted N ,,?me pplican ' ignat DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg 502 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebolpergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ® 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes 0 v Valuation ~w Occupancy t-2- MCES System Plan Review 100% or 25% Census Code 17 Zoning _ City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) f Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco Lath - Stone Lath Brick _ Fireplace _ R.I. Air Test _ Final _ Windows Insulation Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2007 RESIDENTIAL BUILDING Pmm7APPIICAff)N City Of Eagan 3830 Pilot Knob Road Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y - N 1 set of Energy Calculations On-site Septic System _ Y - N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasoo mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date 9 l (2, l ( \ Construction Cost Site Address H (~j 1 t,~e V-af~ ti C;X Unit/Ste # ~x.~9,_.r~`C` Description of Work Multi-Family Bldg Y Fireplace(s) - 0 1 - 2 Property Owner ~'~;~2`c~C~ Telephone # (~51) yCj f Contractor l1~ L` CAS d-S Address V t `w~-1 (?T~ _ City f + l ~U t State f-- Zip _S S33~ Telephone # Q~7) 0 C 0 -72q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City. of Eagan. and. the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 4c ~ V\je[s Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final/No C.O. Foundation _ HVAC Drain Tile Other - Roof _ Ice & Water Final Pool Ftgs _ Air/Gas Tests Final - - - - Framing Siding _ Stucco Lath Stone Lath -Brick - Fireplace - R.I. -Air Test -Final - Windows Insulation - Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC , Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA114965 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 4131 Blueberry Ct Lot:24 Block: 6 Addition: Hilltop Estates PID:10-33000-06-240 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Chris Hilfer Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Danny D Deragisch 4131 Blueberry Ct Eagan MN 55123 (651) 456-9170 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156342 Date Issued:06/25/2019 Permit Category:ePermit Site Address: 4131 Blueberry Ct Lot:24 Block: 6 Addition: Hilltop Estates PID:10-33000-06-240 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Danny D Deragisch 4131 Blueberry Ct Eagan MN 55123 (651) 210-6559 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157422 Date Issued:08/19/2019 Permit Category:ePermit Site Address: 4131 Blueberry Ct Lot:24 Block: 6 Addition: Hilltop Estates PID:10-33000-06-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Danny D Deragisch 4131 Blueberry Ct Eagan MN 55123 (651) 210-6559 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (641) 670-7051 Applicant/Permitee: Signature Issued By: Signature